Brandal Wagener, LMHC

NPI 1760038475 · on the registry since 2019

Practice

Address: 4620 E 53rd St Ste 200
Davenport, IA 52807
Phone: (224) 216-4209
Organisation at this address: Jan Dumond Llc
Affluence Care Llc
Bridgecare Aba Ia Llc
Zyn Medical Supply Llc
Champions Developmental Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Mental Health Counselor
101YM0800X
Licence states on file: IA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-02-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa